Assignment: Effective communications Assignment: Effective communications Part of the nurse’s assessment when providing end of life care should include understanding the patient’s wishes regarding death (Grand Canyon University, 2012). Advance directives are instructions given by the patient in the event they can no longer make decisions for themselves, at which time a representative will be appointed to carry out the patient’s decisions. Many elderly people want to die in their home although barriers such as a fear of death, family burden, poor discharge planning, and the patient’s condition can hinder the ability to make this possible (Imperial College London, n.d.
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